- Houston specialized vascular and vein care
- Triple board-certified surgeon
- Same-week appointments
- Mon–Fri, 8 AM–5 PM
Houston vascular and vein care
Houston vascular and vein care
Suffering from painful, bulging leg veins? Dr. Rema Malik provides advanced, minimally invasive varicose vein treatment with personalized care, on-site diagnostics, and same-day procedures — so you can get back to life without the discomfort.
Same-Week Appointments Available
3 Greater Houston Locations
Minimally Invasive · Back to Life Same Day
Find out if you have varicose veins. Our team calls you back the next business morning.
Our Treatment Methods
Dr. Rema Malik, a trusted varicose vein specialist in Houston, selects the optimal treatment for your specific vein pattern and severity — often with zero incisions, local anesthesia, and same-day recovery.
Targeted laser energy passes through the skin to heat and collapse spider veins — no needles, no injections. The most precise cosmetic vein treatment available for facial and leg spider veins.
No needles or injections
Walk out same day
Face & leg spider veins
Uses radiofrequency energy (not laser) to gently heat and seal the vein wall. Slightly less post-procedure discomfort — ideal for patients sensitive to bruising.
Outpatient · ultrasound-guided
Resume normal activity next day
High patient comfort rating
Varithena is an FDA-approved injectable microfoam that fills and collapses diseased veins from the inside. Ideal for crooked, difficult-to-reach varicose veins and great saphenous vein incompetence.
FDA-approved injectable foam
Resume activity same day
Tiny stab incisions remove bulging surface veins directly. Often combined with RFA for complete correction.
A sclerosant solution is injected directly into smaller varicose and spider veins, causing them to collapse and fade. Often combined with ClearV Laser for complete spider vein clearance.
All treatments include a personalized compression protocol and follow-up ultrasound to confirm full vein closure.
Dr. Malik chooses the treatment after a duplex ultrasound maps your veins. This table compares the main options on this page.
| Treatment | How it works | Recovery | Often used for |
|---|---|---|---|
| Radiofrequency ablation (RFA) | Radiofrequency energy gently heats and seals the vein wall, not laser. Done in the office with local anesthesia and ultrasound guidance. | Return to normal activity the next day. Less bruising than laser. | Refluxing veins, and patients sensitive to bruising. |
| Varithena (foam sclerotherapy) | An FDA-approved microfoam is injected to collapse and close the vein from the inside. | Single injection, 15 to 20 minutes. Resume activity the same day. | Crooked or hard-to-reach veins and below-the-knee varicose veins. |
| Sclerotherapy | A solution injected with a tiny needle closes small varicose and spider veins, which your body absorbs. | Most return the same day. Compression stockings briefly, improvement within weeks. | Spider veins and small varicose veins. |
| ClearV laser | Targeted laser energy passes through the skin to heat and collapse spider veins. No needles. | 15 to 30 minute sessions. Walk out the same day. | Face and leg spider veins. |
| Ambulatory phlebectomy | Tiny stab incisions remove bulging surface veins directly. | Compression and a personalized follow-up plan. | Bulging surface veins, often combined with RFA. |
Every plan includes a compression protocol and a follow-up ultrasound to confirm full vein closure.
Larger, bulging or twisted veins you can see and feel beneath the skin. They can cause aching, heaviness, swelling and night cramps, and can progress to skin changes or ulcers. They happen when vein valves fail and blood pools.
Small red or blue veins close to the skin surface. They are common, often hereditary and usually a cosmetic concern, treated with sclerotherapy or laser.
Understanding Your Condition
Varicose veins form when faulty valves let blood pool instead of flowing back to the heart. More than cosmetic — left untreated, they progress to venous insufficiency, leg ulcers, and blood clots.
98%
Patient Satisfaction Rate
(RFA Procedures)
Valves open and close properly, pushing blood toward the heart with no pooling.
Weakened valves fail to close, allowing blood to flow backward and pool.
Pooled blood stretches the wall, creating bulging, twisted cords visible beneath skin.
Understanding Your Condition
Being female
Family history
Long periods standing or sitting
Pregnancy
Obesity or excess weight
Free vein screening with diagnostic ultrasound. No referral needed. Same-week availability.
Conditions We Treat
Varicose veins are a progressive condition. The earlier you treat them, the simpler and faster the recovery.
Persistent aching, throbbing or a “heavy” feeling — especially after prolonged standing or at the end of the day.
Edema caused by chronic venous insufficiency, where blood pools in the lower legs due to faulty valves.
Darkening of the skin, eczema, or venous leg ulcers — signs of advanced chronic venous disease.
Small, visible red or blue veins just beneath the skin surface — cosmetically bothersome and treatable with sclerotherapy.
Venous insufficiency is a common and underdiagnosed cause of nighttime leg cramps and restless leg syndrome.
Our Treatment Process for Varicose Veins in Houston
01
Doppler ultrasound maps your vein reflux pattern.
02
Dr. Malik selects EVLA, RFA or sclerotherapy.
03
45–90 minutes. Walk in, walk out the same day.
04
Ultrasound confirms closure. Results in 4–6 weeks.
A Doppler ultrasound evaluation is the only way to know for sure. Dr. Malik will review your veins personally and explain exactly what's happening — no pressure, no obligation.
Often, yes. Insurers generally cover treatment when varicose veins cause symptoms such as pain, swelling, heaviness, skin changes or ulcers, because it is then medically necessary. Purely cosmetic treatment, including most spider vein treatment, is usually not covered.
Symptoms like aching, swelling or skin changes, confirmed by a duplex ultrasound. Treatment is usually covered, often with prior authorization.
Documented symptoms, an ultrasound showing vein reflux, and sometimes a trial of compression stockings first. Our team handles prior authorizations.
Spider vein injections and laser for appearance are typically self-pay. We confirm your costs with you before treatment begins.
Coverage depends on your plan. Call (832) 400-2763 and our team will check your benefits before your visit. We do not quote prices on this page.
Most varicose vein treatments are covered when medically necessary. Our staff handles prior authorizations.
Why Choose Dr. Malik
Dr. Rema Malik, a triple board-certified varicose vein surgeon in Houston, is dedicated to identifying the least invasive treatment that delivers the right result for you.
Board certified in Vascular Surgery — one of Houston’s most comprehensively credentialed vein specialists.
Every procedure is guided by real-time Doppler ultrasound for safe, accurate, and permanent vein closure.
Dr. Malik communicates fluently in both English and Urdu, ensuring every patient fully understands their diagnosis and options.
We exhaust every non-surgical option before recommending more complex procedures — fewer complications, faster recovery.
Dr. Rema Malik, MD
Triple Board-Certified Vascular Surgeon · Houston, TX
Board certified
Vascular Surgery
Board certified
Surgical Critical Care
Board certified
General Surgery
3 Convenient Houston-Area Locations
No matter where you are in Greater Houston, expert vein care is close by — with same-week availability at every location.
Sugarland Clinic
Houston Clinic
Tomball Clinic
I have been seeing Dr Rema Malik for about 2 years now. She is amazing and all of her staff is amazing. I wish that all my doctors and there staff could be at least half of what this team is just so incredible and can’t thank her and her staff enough for always making my legs good again.
Dr. Malik was very kind and thorough. She looks out for your best interest and explained the process of the diagnostic and treatment plan. Her staff was very kind and made me feel comfortable with their evaluation.
I love love love Dr. Malik. She has taken very good care of me. She listens and answers all my questions and concerns. She is compassionate and caring.
Dr. Malik and her team are wonderful! Very friendly, easy to understand my questions and the process with my procedure. I never have to wait for the team to get back to me when I have called.
Yes — when varicose veins cause symptoms (pain, swelling, skin changes), treatment is usually covered as medically necessary by major insurers including Aetna, BCBS, Cigna, UHC, and Medicare. Our team handles all prior authorizations and billing on your behalf.
Treated veins do not return — once a vein is ablated or sclerosed, it is permanently sealed. However, untreated veins elsewhere can develop over time. Dr. Malik performs follow-up ultrasound to confirm closure and monitors for new vein formation.
Spider veins treated with ClearV Laser typically fade within 2–6 weeks. Varithena results for larger varicose veins become visible as the treated vein is gradually absorbed by the body over 4–8 weeks. Most patients require 1–3 sessions depending on the extent of the veins being treated.
The right treatment depends on the size, depth, and location of your veins — determined by a Doppler ultrasound evaluation. Larger saphenous veins typically respond best to RFA; crooked or hard-to-reach varicose veins are ideal for Varithena foam; spider veins on the legs or face are best treated with ClearV Laser. Dr. Malik personalizes every treatment plan.
Most RFA procedures take between 45 and 90 minutes from start to finish. Varithena treatments are even faster — typically 15–20 minutes. You'll be awake, comfortable, and able to walk out of the clinic on your own. No general anesthesia or hospital stay is required.
No referral is required. You can call us directly at (832) 400-2763 or use the booking form on this page and we'll see you as quickly as possible — often within the same week.
Most patients return to light daily activities the same day. We recommend avoiding strenuous exercise for 1–2 weeks and wearing compression stockings for 2 weeks post-procedure. Dr. Malik will provide detailed aftercare instructions at your appointment.
Most patients describe minimal discomfort — similar to a slight pinching or pressure. Local anesthesia is used for RFA so the procedure itself is painless. Varithena requires only a single small injection. ClearV Laser for spider veins requires no needles at all. Post-procedure soreness is mild and manageable with over-the-counter pain relievers for 1–2 days.
This page is general education and does not replace medical advice. Dr. Malik reviews your individual situation at your consultation.
Same-week appointments available. No referral needed. Most insurance accepted. Dr. Rema Malik and her team are ready to help you feel like yourself again.
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